Provider Demographics
NPI:1437184942
Name:ADVANCED PULMONARY AND SLEEP PC
Entity Type:Organization
Organization Name:ADVANCED PULMONARY AND SLEEP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYALVIZHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMBANDAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-370-7200
Mailing Address - Street 1:310 RICHMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7585
Mailing Address - Country:US
Mailing Address - Phone:718-370-7200
Mailing Address - Fax:
Practice Address - Street 1:310 RICHMOND HILL RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7585
Practice Address - Country:US
Practice Address - Phone:718-370-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219859207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty